Individual provider Active NPI

Greta B Albee-Jaeger, LPC

  • Professional Counselor
  • Lebanon, NH
National Provider Identifier
1942458633
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004097 Issued in GA
Practice address
40 Mechanic St
Lebanon, NH 03766-1521
Phone
(404) 259-1335
NPI assigned
Sep 5, 2008
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134132 VT
Professional Counselor 101YP2500X LPC004097 GA Primary

Addresses

Primary practice location

40 Mechanic St
Lebanon, NH 03766-1521

Mailing address

40 Mechanic St
Lebanon, NH 03766-1521
Phone (404) 259-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 12, 2024 through Apr 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068.0134132VTMDMental Health Counselor
LPC004097GAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1942458633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661521",
            "telephone_number": "404-259-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661521",
            "telephone_number": "404-259-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBEE-JAEGER",
        "first_name": "GRETA",
        "middle_name": "B",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.